Effects of Exercise Training on Frailty in Community‐Dwelling Older Adults: Results of a Randomized, Controlled Trial

Binder, Ellen F.; Schechtman, Kenneth B.; Ehsani, Ali A.; Steger-May, Karen; Brown, Marybeth; Sinacore, David R.; Yarasheski, Kevin E.; Holloszy, John O.

doi:10.1046/j.1532-5415.2002.50601.x

Cited by 467 publications

(497 citation statements)

References 26 publications

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“…Lord et al (2003) found that 12 weeks of an intervention that included gait, balance, and weight-bearing exercises resulted in 22 % fewer falls in frail elderly individuals compared with control subjects. In addition, Binder et al (2002) showed significant improvements in balance and physical performance scores in the physically frail elderly after 36 weeks of multicomponent exercise intervention. In another study, Barnett et al (2003) demonstrated that 1 year of home-based strength, balance, and aerobic training resulted in increased balance and 40 % fewer falls in an exercise intervention group of elderly with physical frailty compared with a control group.…”

Section: Discussionmentioning

confidence: 92%

“…This exercise intervention induced improvements in not only strength but also several parameters of functional capacity in the oldest old. Indeed, in younger frail elderly, multicomponent exercise programs appear to be the most effective intervention for improving the overall physical status of frail elderly individuals and prevent disability and other adverse outcomes (Binder et al 2002;Clemson et al 2012;Freiberger et al 2012). …”

Section: Discussionmentioning

confidence: 99%

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Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians

Cadore

Casas‐Herrero

Zambom-Ferraresi

et al. 2013

AGE

389

430

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This randomized controlled trial examined the effects of multicomponent training on muscle power output, muscle mass, and muscle tissue attenuation; the risk of falls; and functional outcomes in frail nonagenarians. Twenty-four elderly (91.9±4.1 years old) were randomized into intervention or control group. The intervention group performed a twice-weekly, 12-week multicomponent exercise program composed of muscle power training (8-10 repetitions, 40-60 % of the one-repetition maximum) combined with balance and gait retraining. Strength and power tests were performed on the upper and lower limbs. Gait velocity was assessed using the 5-m habitual gait and the timeup-and-go (TUG) tests with and without dual-task performance. Balance was assessed using the FICSIT-4 tests. The ability to rise from a chair test was assessed, and data on the incidence and risk of falls were assessed using questionnaires. Functional status was assessed before measurements with the Barthel Index. Midthigh lower extremity muscle mass and muscle fat infiltration were assessed using computed tomography. The intervention group showed significantly improved TUG with single and dual tasks, rise from a chair and balance performance (P<0.01), and a reduced incidence of falls. In addition, the intervention group showed enhanced muscle power and strength (P<0.01). Moreover, there were significant increases in the total and high-density muscle cross-sectional area in the intervention group. The control group significantly reduced strength and functional outcomes. Routine multicomponent exercise intervention should be prescribed to nonagenarians because overall physical outcomes are improved in this population.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians

Cadore

Casas‐Herrero

Zambom-Ferraresi

et al. 2013

AGE

389

430

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“…Indeed, people who have reached old age successfully are characterized by high levels of functioning in both physical and psychosocial domains (5)(6)(7). Several studies have shown that disability can be prevented or reduced by enhancing physical fitness through physical activity (8,9). In the psychological domain, one often focuses on specific age-related symptoms or disorders like memory impairment (10,11), depression (12) or dementia (13).…”

Section: Introductionmentioning

confidence: 99%

Differences between participants and non-participants in an RCT on physical activity and psychological interventions for older persons

et al. 2005

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“…Binder et al 4 4 Mild to moderate frailty: Having two of the following criteria: 1) score between 18-32 on modified physical performance test; 2) difficulty or need for assistance on 2 or + IADLs and BADLs; 3) VO 2 peak between 10-18 mL/kg min.…”

Section: Muscle Strengtheningmentioning

confidence: 99%

“…Although there is no consensus on the definition of frailty, it is widely accepted as a multifactorial, clinical syndrome characterized by a state of physiological vulnerability resulting from a decrease in energy reserves and the ability to maintain or restore homeostasis after a destabilizing event 2,3 . Frailty syndrome is complex and involves declines in many physiological domains, including strength and muscle mass, flexibility, balance, coordination and cardiovascular function 4,5 , which generate high risk of falls, functional decline, hospitalization and death 6 . Frailty leads to the deterioration of quality of life, caregiver overload and high health care expenses 7 .…”

Section: Introductionmentioning

confidence: 99%

Atuação da fisioterapia na síndrome de fragilidade: revisão sistemática

Arantes¹,

Alencar²,

Dias³

et al. 2009

Rev. bras. fisioter.

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Objective: To carry out a systematic review of the literature on physical therapy interventions and their effect on frail community-dwelling elders. Methods: Systematic review of studies published until June 2008 in the databases Medline, Embase, PEDro, SciELO, LILACS and Cochrane Library. We excluded studies with samples composed of institutionalized, hospitalized and non-frail participants, studies not aimed at treating frailty, and studies that were not specifically related to physical therapy. Results: In accordance with the exclusion criteria, out of the 152 Medline articles, only 15 were considered for analysis, out of the 71 PEDro articles only one was considered as the other ten had already been selected in Medline, and out of the 461 Embase articles only two that had not been selected in others databases were included in this study. A total of seven different types of interventions were verified: 1) muscle strengthening;2) exercises for muscle strengthening, balance, coordination, flexibility, reaction time and aerobic training; 3) functional training; 4) physical therapy; 5) at-home physical therapy; 6) environment adaptation and prescription of assistive device; 7) water exercise.The results of some studies were contradictory even with similar interventions. The analyzed studies had different definitions for fragility, which made it difficult to compare the results. Conclusion: There is little evidence of the effect of physical therapy intervention on frail community-dwelling elders; thus, it is not possible to reach a consensus or conclusion on the effectiveness of the therapeutic regimens proposed for this complex syndrome.Key words: elderly; frail; physical therapy; rehabilitation. ResumoObjetivo: Revisar sistematicamente a literatura sobre intervenções fisioterapêuticas e seus efeitos em idosos frágeis da comunidade.Métodos: Revisão sistemática de estudos publicados até junho de 2008 nas bases de dados Medline, Embase, PEDro, SciELO, LILACS e Biblioteca Cochrane. Foram excluídos os artigos cuja amostra era constituída de idosos não frágeis, institucionalizados e hospitalizados; aqueles cujas intervenções propostas não foram a fragilidade e não eram específicos de fisioterapia. Resultados: De acordo com os critérios de exclusão, dos 152 artigos encontrados no Medline, apenas 15 foram incluídos para análise; dos 71 artigos encontrados na base de dados PEDro, apenas um, uma vez que os outros 10 artigos encontrados já haviam sido selecionados pelo MEDLINE, e dos 461 artigos encontrados na base de dados Embase, apenas dois que não haviam sido selecionados nas outras bases de dados foram incluídos neste estudo. Foi verificado um total de sete diferentes tipos de intervenções: 1) fortalecimento muscular; 2) exercícios de fortalecimento muscular, equilíbrio, coordenação, flexibilidade, tempo de reação e treinamento aeróbico; 3) treino funcional; 4) fisioterapia; 5) fisioterapia realizada no domicílio; 6) adaptação ambiental e prescrição de dispositivo e 7) exercício na água. Os resultados de algun...

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Effects of Exercise Training on Frailty in Community‐Dwelling Older Adults: Results of a Randomized, Controlled Trial

Abstract: Our results show that intensive ET can improve measures of physical function and preclinical disability in older adults who have impairments in physical performance and oxygen uptake and are not taking hormone replacement therapy better than a low-intensity home exercise program.

Cited by 467 publications

References 26 publications

Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians

Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians

Differences between participants and non-participants in an RCT on physical activity and psychological interventions for older persons

Atuação da fisioterapia na síndrome de fragilidade: revisão sistemática

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